Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | 42601 | AZ |
N | 208200000X | Surgeon | 81598 | AZ |
N | 208600000X | Surgeon | 81598 | AZ |
NPI | 1528266269 |
---|---|
Provider Name | Dr. Scott Swanson |
First Address | Phoenix, AZ 85054-4502 |
Second Address | Phoenix, AZ 85054-4502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2007 |
Last Update Date | 04/10/2013 |